| NPI | 1487736088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8656) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 007311) |
| 1041C0700X Social Worker, Clinical (Licence: LA 17823) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 7311) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2026-06-13 |